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DOUL08 ENVIRONMENTAL COMPANY SAMPLING INFORMATION SHEET <br /> Client: Ultramar Diamond Shamrock Sampling Date: G 6 ©0 <br /> Site : Beacon 1641 Project No. : 98-641-01 <br /> 12,10 East�HammerLane Well Designation: V w <br /> Stockton. CA <br /> Is setup of traffic control devices required? � YES time: hours <br /> Is there standing water in well box'' YES Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> Is well cap sealed and locked? NO If no, see remarks <br /> Height of well casing riser (in inches) : t16 <br /> Well cover type: 8" UV 12" W 12" EMCO 8" BK <br /> 12" BK 12" DWP - 3611 36" CNI Other <br /> General condition of wellhead a sembly: Excellent oo Fair Poor <br /> Purging Equipment: 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4" PVC bailer Centrifugal pump <br /> Sampled with: Disposable bailer:_ Teflon bailer: <br /> Well Diameter: 2" x 4" 6" 8" <br />*Purge Vol . Multiplier: 0 . 16 0. 65 1. 47 2 . 61 gal/ft. <br /> Initial Measurement Recharge Measu emen <br /> Time: !�- = /0 p Time: Calculated purge <br /> Depth of well : $ y O S Depth to water: 3 U Actual purge : <br /> Depth to water: -Q-,::2 <br /> Start purge: G Y Y Sampling time: S <br /> Time Temp. E. C. pH Turbidity volume <br /> 6 ' yS 7/ (ff 7 2 3 -/� --� <br /> '/ 7- 3 �/ G `7,�/ Z <br /> 6 t7 -) o • 7 / 7-od --- <br /> �` Yb' 7G 2 1 7 / Z? <br /> Sample appearance: Lock: <br /> Equipment replaced: (Check all that apply) Note condition of replaced item <br /> 2" Locking Cap: Lock #3753 : 7/32 Allenhead- <br /> 4" Locking Cap: Lock-Dolphin: 9/16 Bolt: <br /> 6" Locking Cap: Pinned Allenhead (DWP) : <br /> Remarks: <br /> Signature: <br />